05D2173601 CLIA NUMBER - RIDGE EYE CARE INC DBA ANDERSON EYE CARE

Laboratory Demographics

  • CLIA Code: 05D2173601
  • Facility Name: RIDGE EYE CARE INC DBA ANDERSON EYE CARE
  • Facility Address: 2890 VENTURA STREET
    ANDERSON, CA
    ZIP 96007
  • Facility Phone: 530 924-0749
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL I. BARTHELOW
  • NPI Number: 1699078030
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2173601
LAB Type Physician Office
Facility Name RIDGE EYE CARE INC DBA ANDERSON EYE CARE
Street 2890 VENTURA STREET
City ANDERSON
State CA
ZIP 96007
Phone 530 924-0749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director JOEL I. BARTHELOW

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This page was last updated on: 9/29/2025